Who We Serve

Cost Control

Data Transparency

Healthcare is complex.
Every group experiences that complexity in its own way.

From rising medical costs and regulatory oversight to fragmented data, the need for healthcare clarity remains constant.

Claritev serves organizations across the healthcare landscape to reduce costs, improve access, strengthen payment accuracy, and bring insight to light. With our comprehensive solutions, we help each organization navigate complexity while keeping a keen focus on their unique objectives.

Whether you are advising clients, administering plans, managing networks, or delivering care, Claritev helps bring the precision and perspective needed to move forward strategically.

Solutions and services that span healthcare.

Claritev equips brokers with advanced analytics, supplemental modeling, and reference-based pricing solutions that help translate healthcare complexity into defensible strategy and measurable client savings.


From predictive analytics to network optimization, Claritev helps employers reimagine healthcare ROI and move from reactive cost management to proactive benefits strategy.


Federal and state agencies leverage Claritev’s network, payment integrity, and surprise billing expertise to navigate regulatory complexity and strengthen operational precision.


Claritev supports health plans across the healthcare lifecycle with integrated solutions spanning network performance, claims intelligence, analytics, and revenue integrity.


Hospitals and Health Systems

Hospitals and Health Systems

Through pricing intelligence, negotiation services, and revenue optimization solutions, Claritev helps providers reduce leakage, strengthen contract strategy, and improve financial visibility.


Third Party Administrators

Third Party Administrators

Claritev supports TPAs with integrated negotiation, editing, and payment solutions that aim to expand capabilities without expanding overhead — strengthening trust across every client relationship.

  • They (Claritev) are continuously refining and developing the platform to meet my needs.

    Dominic Marzolino, National Analytic Consultant

    Insurance Office of America

  • How Carlinville Hospital Improved Financial Performance Through Denial Visibility, Revenue Cycle Prioritization, and Operational Alignment

    See how Carlinville Area Hospital improved denial visibility, strengthened revenue cycle priorities, and aligned financial and operational goals to drive better performance.

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  • Medicare Advantage Expansion Strategy

    Explore a practical framework for evaluating Medicare Advantage expansion opportunities, assessing network feasibility, and making more informed go/no-go decisions.

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  • Turning Transparency Data Chaos into Reimbursement Intelligence

    Transparency data is transforming reimbursement strategy, but only when it can be trusted and applied effectively. Discover how Claritev turns complex pricing data into…

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